“Fighting the Battle Against Impaired Driving” - State of Michigan
“Fighting the Battle Against Impaired Driving” - State of Michigan
“Fighting the Battle Against Impaired Driving” - State of Michigan
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<strong>“Fighting</strong> <strong>the</strong> <strong>Battle</strong> <strong>Against</strong> <strong>Impaired</strong><br />
<strong>Driving”</strong><br />
MI Office <strong>of</strong> Highway Safety Planning<br />
March 12, 2008<br />
Ernie Floegel, IACP<br />
Officer Jeramey Peters, Auburn Hills PD
Drugged Driving?<br />
Is it a problem?<br />
Who’s doing it?<br />
How do we prevent it?
New Data – Washington <strong>State</strong><br />
2003 – Study by Dr. Barry Logan<br />
revealed that 44 percent <strong>of</strong> drivers killed<br />
in crashes in Washington tested<br />
positive for alcohol.<br />
Of those, 38 percent were also positive<br />
for psychoactive drugs and 30 percent<br />
<strong>of</strong> <strong>the</strong> drivers who were alcohol free,<br />
were positive for drugs. (WA DRE Newsletter, 2004)
Hand-Sanitizers<br />
• 62 % Alcohol<br />
• Licking<br />
• Rubbing on Gums<br />
• Poisonous
Huffing<br />
• North Little Rock, AR<br />
• 16 Year Old Female<br />
• Unconscious / Ambulance<br />
• Vapor Heavier Then Air – Displaces<br />
Oxygen<br />
• Knowledge Came From PO /
Zamboni<br />
• Newark, NJ<br />
• 0.12 %<br />
• Beer, Vodka, Sambuca & Valium
Horseback<br />
• Sylvania, Alabama<br />
• Midnight / City Street<br />
• 40 Year Old Female<br />
• Under <strong>the</strong> Influence <strong>of</strong> a Controlled<br />
Substance, Drug Possession, etc. etc.<br />
• Crystal Meth, Marijuana
“Cheese”: The New Face <strong>of</strong><br />
Heroin<br />
+ =<br />
Black Tar Heroin<br />
Tylenol PM or generic<br />
“Cheese”
What is “Cheese”?<br />
Black tar heroin combined with crushed Tylenol<br />
PM tablets<br />
Highly Addictive and very dangerous<br />
Tan-colored powder usually snorted through <strong>the</strong><br />
nose with a tube, straw, or small ballpoint pen<br />
Packaged in a small paper bindle or zip lock<br />
baggie<br />
Can be bought for as little as $2<br />
Popular among Hispanic juveniles, both male and<br />
female<br />
Has been identified in more than a dozen Dallas<br />
ISD secondary and surrounding suburbs
Symptoms <strong>of</strong> Use<br />
Drowsiness and Lethargy<br />
Euphoria<br />
Excessive Thirst<br />
Disorientation<br />
Sleepiness and Hunger<br />
Sudden change in grades & friends
References<br />
Information for this presentation obtained from:<br />
• Dallas ISD Police and Safe and Drug-Free<br />
Schools/Abstinence Education Programs,<br />
February 2007<br />
• TEA Region X Conference Presentation by<br />
Jeremy Liebbe, CPES, DISD Police Department
The Drugged Driving Problem -<br />
What Are We Doing About It?<br />
Are our prosecutors<br />
properly trained to<br />
prosecute drugged<br />
drivers?<br />
Are we training our<br />
<strong>of</strong>ficers properly?<br />
Do <strong>of</strong>ficers know<br />
what to look for?
IMPAIRED DRIVER<br />
ENFORCEMENT PROGRAMS<br />
Standardized Field Sobriety Testing<br />
Drug Evaluation Classification Program<br />
Provides “One-Two Knockout Punch” for<br />
detecting impaired drivers.
Standardized Field Sobriety<br />
Testing (SFST’s)<br />
“Foundation” to all impaired driving training<br />
Developed by NHTSA<br />
Training began in <strong>the</strong> early 1980’s<br />
By 1995 – all 50 states involved<br />
“Standardized” curriculum
THE THREE TESTS<br />
• Horizontal Gaze Nystagmus Test (HGN)<br />
• Walk and Turn Test (WAT)<br />
• One Leg Stand (OLS)
ACCURACY<br />
• These tests, especially HGN and WAT,<br />
when administered correctly and sufficient<br />
clues are observed, have an 80% reliability<br />
that <strong>the</strong> subject is at or above a .08 BAC<br />
• SFS Tests enable <strong>the</strong> <strong>of</strong>fice to determine<br />
whe<strong>the</strong>r or not <strong>the</strong> operator is impaired.<br />
• A trained <strong>of</strong>ficer can administer <strong>the</strong> three<br />
test battery on <strong>the</strong> road.
TRAINING DETAILS<br />
• Training is 32 hours.<br />
• Student to instructor ratio <strong>of</strong> 3 or 4.<br />
• Unique hands-on learning.<br />
• Two alcohol workshops / Dry or Wet<br />
• NHTSA and International Association <strong>of</strong> Chiefs<br />
<strong>of</strong> Police (IACP) have sanctioned <strong>the</strong> SFST<br />
Training. The SFST training and national<br />
standards are under <strong>the</strong> auspices <strong>of</strong> <strong>the</strong> IACP’s<br />
Highway Safety Committee’s Technical Advisory<br />
Panel.
Program Transition<br />
• Program oversight was transitioned to <strong>the</strong><br />
<strong>State</strong>s in <strong>the</strong> early 1990s.<br />
• <strong>State</strong> Highway Safety Offices had <strong>the</strong><br />
oversight and responsibility to ensure <strong>the</strong><br />
program was administered properly across<br />
<strong>the</strong> <strong>State</strong>.
What Happened(1)?<br />
• Like many programs, record keeping<br />
was lax.<br />
• The pr<strong>of</strong>iciency <strong>of</strong> law enforcement<br />
skills declined.<br />
• Some <strong>State</strong>s required law enforcement<br />
to be certified, generally through each<br />
<strong>State</strong>’s Peace Officers Standards and<br />
Training Council (POST).
What Happened(2)?<br />
• Less than optimal communications between<br />
law enforcement, Highway Safety Offices,<br />
Regional Office and NHTSA HQ.<br />
• As a result, <strong>the</strong> training <strong>of</strong>ten did not follow<br />
updated NHTSA/IACP curricula.<br />
• Deterioration <strong>of</strong> skills caused difficulty in<br />
some courts.
Purpose <strong>of</strong> SFST Program<br />
Assessment<br />
• Evaluate <strong>the</strong> status <strong>of</strong> a <strong>State</strong> SFST<br />
Program.<br />
• Improve <strong>the</strong> administration, operation,<br />
prosecution, and adjudication <strong>of</strong> impaired<br />
driving cases.<br />
• Improve continuity <strong>of</strong> program on a <strong>State</strong><br />
level.<br />
• Identify resources available to <strong>the</strong> <strong>State</strong>.
PICTURE THIS SENARIO<br />
A police <strong>of</strong>ficer stops a<br />
driver operating a vehicle<br />
unable to maintain a single<br />
lane <strong>of</strong> travel. The <strong>of</strong>ficer<br />
finds a clearly impaired<br />
driver who is confused,<br />
disoriented.
DRIVER FAILS<br />
• The driver fails <strong>the</strong> roadside tests and is<br />
arrested for DUI. However, a breath test fails<br />
to detect <strong>the</strong> presence <strong>of</strong> alcohol.<br />
• Is <strong>the</strong> driver impaired? What evidence is<br />
needed to convict <strong>the</strong> driver?
SOLUTION<br />
• Police <strong>of</strong>ficers frequently encounter this<br />
type <strong>of</strong> scenario and <strong>the</strong> aftermath on our<br />
roads caused by drug-impaired drivers.<br />
Many times <strong>the</strong> impaired drivers are<br />
arrested, but not convicted. Hampered<br />
by this type <strong>of</strong> situation, law<br />
enforcement <strong>of</strong>ficers sought out o<strong>the</strong>r<br />
solutions to identify and convict drugged<br />
impaired drivers.
New York <strong>State</strong> Police<br />
• Erratic vehicle stopped by Non-DRE<br />
• Issued several UTT’s<br />
• Ready to cut her loose<br />
• DRE assisted, interviewed<br />
• Arrested for DWAI Drugs<br />
• CNS Depressants & Cannabis<br />
• $60,000 Drug Money<br />
• Appendix #II & III
Drug Evaluation and<br />
Classification Program<br />
Developed in Los Angeles in 1970’s as<br />
<strong>the</strong> Drug Recognition Expert (DRE)<br />
Program<br />
1987 - NHTSA assisted<br />
in <strong>the</strong> development and<br />
expansion <strong>of</strong> <strong>the</strong> program
DEC Program<br />
Trains <strong>of</strong>ficers to be Drug Recognition<br />
Experts or Drug Recognition Evaluators<br />
(DREs)<br />
Program oversight to IACP in 1989<br />
44 states in <strong>the</strong> program<br />
Over 6,000 DREs in U.S. (01-01-08)
DRUG RECOGNITION<br />
EXPERT<br />
What is a DRE?<br />
A police <strong>of</strong>ficer highly<br />
trained in detecting and<br />
recognizing impairment<br />
caused by substances<br />
o<strong>the</strong>r than alcohol.
What Does <strong>the</strong> DRE Do?<br />
Normally post arrest<br />
Provides expertise and assistance<br />
in drug impaired driving<br />
investigations<br />
Requested when impairment is not<br />
consistent with <strong>the</strong> arrestee’s BAC<br />
Drug training expertise<br />
Quality DWI enforcement
DRE Determines:<br />
1. If <strong>the</strong> subject is impaired<br />
2. If <strong>the</strong> impairment is drug<br />
or medically related<br />
3. If drug related, which<br />
category <strong>of</strong> drug(s) is<br />
likely causing <strong>the</strong> impairment
The DRE Drug Influence<br />
Evaluation<br />
12 –Step<br />
Standardized<br />
and<br />
Systematic<br />
Process
Drug Recognition Training<br />
<br />
<br />
<br />
<br />
<br />
Phase I - DRE Pre-School (16 hours)<br />
Phase II - DRE School (56 hours)<br />
Phase III - Certification Training (40-60 hours)<br />
Re-Certification training every two years<br />
On-going training
THE TWO DAY PRE-SCHOOL<br />
• Includes an introduction to <strong>the</strong> DRE Program.<br />
• Overview <strong>of</strong> <strong>the</strong> seven drug categories.<br />
• Includes an introduction to <strong>the</strong> twelve step<br />
process.<br />
• Includes <strong>the</strong> proper techniques <strong>of</strong> taking vital<br />
signs.<br />
• Overview and pr<strong>of</strong>iciency <strong>of</strong> <strong>the</strong> standardized<br />
field sobriety tests.
THE SEVEN DAY<br />
DRE SCHOOL<br />
• Drugs In Society<br />
• Development and effectiveness <strong>of</strong> <strong>the</strong> DEC Program<br />
• The seven drug categories and <strong>the</strong> signs and effects<br />
with each category.<br />
• Physiology and drugs<br />
• The DRE 12-Step process<br />
• Vital signs<br />
• Eye examinations (pupil size, reaction to light,<br />
nystagmus)<br />
• Successful completion <strong>of</strong> a final written exam.
FIELD EVALUATIONS<br />
• DRE must complete a minimum <strong>of</strong> 12 drug<br />
evaluations, administering at least six.<br />
• DRE must correctly evaluate people under<br />
<strong>the</strong> influence <strong>of</strong> at least three <strong>of</strong> <strong>the</strong> seven<br />
drug categories.<br />
• Evaluations must be confirmed through<br />
toxicology.
DRE PROCEEDURES<br />
• 12- Step standardized and systematic<br />
process<br />
• DREs are trained to follow an evaluation<br />
checklist<br />
• Proceeds from BAC through assessment <strong>of</strong><br />
signs <strong>of</strong> impairment to toxicological<br />
analysis<br />
• Similar to standard medical diagnosis<br />
procedures<br />
• Takes approximately 60 minutes to complete<br />
an evaluation
Step 1:<br />
Blood Alcohol Content<br />
• DRE or Arresting<br />
Officer determines if<br />
alcohol is involved.
Step 2:<br />
Interview <strong>the</strong> Arresting Officer<br />
• DRE determines <strong>the</strong><br />
reason for <strong>the</strong> arrest<br />
• Driving observed?<br />
• SFST results?<br />
• <strong>State</strong>ments made?<br />
• O<strong>the</strong>r relevant matters
Step 3:<br />
Preliminary Examination<br />
• Fork-In-Road<br />
• Determines if <strong>the</strong> subject is impaired<br />
• Determines if <strong>the</strong> impairment is drug or<br />
medically related<br />
• If drug related, <strong>the</strong> DRE determines<br />
which category <strong>of</strong> drug's) is likely<br />
causing <strong>the</strong> impairment
DRE Training<br />
Medical Rule Outs<br />
• Tempe, AZ<br />
• Diabetic<br />
• Nancy
DRE tests for:<br />
• Horizontal Gaze<br />
Nystagmus (HGN)<br />
• Vertical Nystagmus<br />
(VGN)<br />
• Eye Convergence<br />
Step 4:<br />
Eye Examinations
• Romberg Balance<br />
• Walk and Turn<br />
• One-Leg Stand<br />
• Finger-To-Nose<br />
Step 5:<br />
Divided Attention<br />
DRE administers <strong>the</strong> following<br />
divided attention tests:
Step 6:<br />
Vital Signs Examination<br />
DRE conducts three vital signs<br />
examinations:<br />
• Body temperature<br />
• Blood pressure<br />
• Pulse rate (Taken 3<br />
times)
Step 7:<br />
Dark Room Examination<br />
• Pupillometer used to<br />
estimate <strong>the</strong> suspect’s<br />
pupil sizes in three<br />
different light levels.<br />
• Includes examination<br />
<strong>of</strong> nasal and oral<br />
cavities.
Step 8:<br />
Muscle Tone<br />
• DRE examines<br />
arrestee’s arms for<br />
muscle tone; flaccid,<br />
rigid, or normal.
• Arms<br />
• Neck<br />
• Ankles<br />
Step 9:<br />
Examine For Injection Sites<br />
DRE examines for injection sites. Most<br />
frequently used areas include:
Step 10:<br />
<strong>State</strong>ments & Interview<br />
• DRE conducts a structured interview<br />
• Miranda warnings given if not previously<br />
done<br />
• Suspect questioned about drug use based<br />
upon <strong>the</strong> results <strong>of</strong> <strong>the</strong> evaluation<br />
• DRE records admissions
Step 11: Opinion <strong>of</strong> <strong>the</strong> DRE<br />
• DRE forms an opinion as to <strong>the</strong> drug influence and<br />
<strong>the</strong> category(s) <strong>of</strong> drug(s)<br />
• Makes an “informed opinion” based upon totality<br />
<strong>of</strong> evaluation and evidence<br />
• Symptomology Chart used to<br />
form final opinion
• DRE requests urine or<br />
blood sample for<br />
analysis<br />
Step 12:<br />
Toxicology<br />
• Implied Consent<br />
• Statutes followed
DRE: HOW EFFECTIVE?<br />
• Currently in 44 states and growing<br />
• Proven to increase DUID arrests<br />
• Oregon, 130% increase since 1995<br />
• Washington, 75% increase since 1996<br />
• Approximately 80% confirmation rate<br />
nationally (based upon toxicology)<br />
• Increased acceptance in courts nationally
OREGON DRE VALIDATION<br />
STUDY<br />
• 3,364 DRE evaluations reviewed from 1996<br />
- 2002<br />
• Urine test results used<br />
• Included over 150 Oregon DREs statewide<br />
• Data entered and analyzed by <strong>the</strong> Oregon<br />
<strong>State</strong> Police and Pacific University College<br />
<strong>of</strong> Optometry<br />
• Modeled after <strong>the</strong> Arizona DRE Validation<br />
Study (June 1994 by Adler and Burns)
OREGON DRE STUDY<br />
OBJECTIVES<br />
• Determine relationship and trends <strong>of</strong> drug<br />
signs and symptoms to various drug<br />
categories and drug combinations<br />
• Identify driving behaviors associated to<br />
various drug categories and combinations<br />
• Determine overall effectiveness <strong>of</strong> <strong>the</strong><br />
Oregon DEC Program
Drug Recognition and <strong>the</strong> Drug<br />
Evaluation Classification<br />
Program is a proven, effective<br />
tool to detect and apprehend<br />
drug-impaired drivers and<br />
reduce <strong>the</strong> injuries and fatalities<br />
<strong>the</strong>y cause.
Results<br />
More suspected drugged impaired<br />
drivers arrested and removed from<br />
highways<br />
More people identified with drug abuse<br />
problems and treated<br />
Greater awareness <strong>of</strong> police <strong>of</strong>ficers<br />
More successful DUID prosecutions<br />
Increased public awareness <strong>of</strong> drugged<br />
driving and drug effects
Goals<br />
Expand <strong>the</strong> DEC program to all 50<br />
states<br />
Expand and increase basic drugged<br />
driving training to all law enforcement<br />
Train more DREs nationally<br />
Educate more judges and prosecutors<br />
in drugged driving issues<br />
Expand drugged driving research and<br />
detection measures
Pinellas Park, FL – 8/23/07<br />
• Drug Expert Spotted Use By Ex-Buc<br />
• PO Eric Schroder<br />
• David Boston – Asleep at <strong>the</strong> wheel / Traffic light<br />
• Failed OLS and WAT<br />
• No BAC<br />
• No illegal substance<br />
• Based on DRE / HGN / evaluation asked for<br />
ano<strong>the</strong>r test<br />
• 3 Weeks later / GHB
Now police <strong>of</strong>ficers from across <strong>the</strong> country are learning<br />
<strong>the</strong> telltale signs <strong>of</strong> intoxication produced by drugs o<strong>the</strong>r<br />
than alcohol. They also determine <strong>the</strong> class <strong>of</strong> drug(s)<br />
involved, and, most important, get convictions for driving<br />
under <strong>the</strong> influence <strong>of</strong> drugs.<br />
In police language, <strong>the</strong>y are training to become<br />
”Drug Recognition Experts"<br />
One chief’s comments on <strong>the</strong> value <strong>of</strong> Drug Recognition Experts<br />
"When you have a Drug Recognition Expert at <strong>the</strong> scene, it makes it<br />
so much easier to get a conviction down <strong>the</strong> road," In <strong>the</strong> past,<br />
drug-intoxicated drivers may have had an easier time avoiding<br />
prosecution. But as <strong>the</strong> number <strong>of</strong> recognition experts grows, that’s<br />
getting tougher. “<br />
Pennsauken NJ Police Chief John C<strong>of</strong>fey<br />
5-6-2001 Philadelphia Inquirer
DRE Seven Drug Categories:<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
CNS Depressants<br />
CNS Stimulants<br />
Hallucinogens<br />
Dissociative Anes<strong>the</strong>tic<br />
Narcotic Analgesics<br />
Inhalants<br />
Cannabis
MI DRE<br />
• Officer Jeramey Peters – Auburn Hill PD
DRE Seven Drug Categories:<br />
CNS Depressant<br />
CNS Stimulants<br />
Hallucinogens<br />
Dissociative Anes<strong>the</strong>tic<br />
Narcotic Analgesics<br />
Inhalants<br />
Cannabis
Central Nervous System Depressants<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
The most familiar CNS Depressant is<br />
Alcohol<br />
O<strong>the</strong>r CNS Depressants are legally<br />
prescribed for depression, anxiety,<br />
phobias, and o<strong>the</strong>r psychotic<br />
disorders; and slow down <strong>the</strong> process<br />
<strong>of</strong> <strong>the</strong> brain and many o<strong>the</strong>r functions<br />
that <strong>the</strong> brain controls.<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
The CNS Depressant category<br />
has six sub-categories:<br />
R<br />
Barbiturates<br />
R<br />
R<br />
R<br />
R<br />
Anti-anxiety tranquilizers<br />
Anti-depressant tranquilizers<br />
Anti-psychotics<br />
Non-barbiturates<br />
R<br />
Combinations<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
General Indicators<br />
R<br />
R<br />
R<br />
R<br />
R<br />
R<br />
R<br />
Drowsiness<br />
Thick slurred speech<br />
Uncoordinated, fumbling<br />
Flaccid muscle tone<br />
Sluggish<br />
Eyelids may be droopy<br />
Eyes may be bloodshot and watery<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
Sleep Driving<br />
• Ambien – 26.5 million prescriptions<br />
• Warning – Don’t mix with alcohol<br />
• Appendix # I
Central Nervous System<br />
Stimulants<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
CNS Stimulants Include:<br />
R<br />
R<br />
R<br />
R<br />
Cocaine / Crack<br />
Amphetamines<br />
Methamphetamines<br />
General Cellular<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
General Indicators<br />
R<br />
R<br />
R<br />
R<br />
R<br />
R<br />
R<br />
R<br />
R<br />
R<br />
Restlessness<br />
Anxiety<br />
Excited<br />
Exaggerated reflexes<br />
Bruxism<br />
Runny nose<br />
Paranoia<br />
Euphoria<br />
Loss <strong>of</strong> appetite<br />
Loss <strong>of</strong> weight<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
Hallucinogens<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
Hallucinogens<br />
Hallucinogens are drugs that cause<br />
hallucinations. The user perceives<br />
things differently from <strong>the</strong> way <strong>the</strong>y<br />
actually are.<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
Illusions / Delusions<br />
• Illusions: A false perception<br />
• Delusions: A false belief<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
Synes<strong>the</strong>sia<br />
The transposition <strong>of</strong> sensory modes.<br />
“Seeing Sounds”<br />
“Hearing Colors”<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
General Indicators<br />
R Dazed appearance<br />
R Body tremors<br />
R Perspiring<br />
R Paranoia<br />
R Disoriented<br />
R Nausea<br />
R Difficulty with speech<br />
R Piloerection<br />
R <strong>State</strong>ments suggesting hallucinations<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
Dissociative<br />
Anes<strong>the</strong>tics<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
Dissociative Anes<strong>the</strong>tics will:<br />
R<br />
R<br />
R<br />
Slow down <strong>the</strong> thought process like<br />
CNS Depressants<br />
Speed up <strong>the</strong> vital signs like CNS<br />
Stimulants<br />
Cause hallucinations like <strong>the</strong><br />
Hallucinogen category<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
PCP and Its Analogs<br />
R Phencyclidine is a shortened form <strong>of</strong> <strong>the</strong><br />
chemical name PhenylCyclohexylPiperidine<br />
or PCP.<br />
R An “analog” is a “chemical first cousin.”<br />
R An analog has a slightly different chemical<br />
structure but produces <strong>the</strong> same effects.<br />
R Ketamine, an analog <strong>of</strong> PCP, is legally<br />
manufactured for use in surgery. It is <strong>of</strong>ten<br />
times stolen from veterinary <strong>of</strong>fices<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
General Indicators<br />
R Blank stare<br />
R Loss <strong>of</strong> memory<br />
R Perspiring heavily<br />
R Warm to touch<br />
R Incomplete, slurred verbal responses<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
Narcotic Analgesics<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
Narcotic Analgesics<br />
Natural Alkaloids: occur naturally in Opium.<br />
Syn<strong>the</strong>tics: chemically produced Narcotic<br />
Analgesics with no relations to opium but<br />
produce similar effects.<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
Commonly-Abused Opiates and Their<br />
Derivation From Opium<br />
Raw Opium<br />
Powdered Opium<br />
(Smoking Opium)<br />
O<strong>the</strong>r Alkaloids<br />
Morphine<br />
Codeine<br />
Thebaine<br />
Diacetyl Morphine<br />
(Heroin)<br />
Hydromorphone<br />
(Dilaudid)<br />
Hydrocodone<br />
(Lortab)<br />
Oxymorphone<br />
(Numorphan)<br />
Oxycodone<br />
(Oxycontin)<br />
XVII-6
General Indicators<br />
R<br />
R<br />
R<br />
R<br />
R<br />
R<br />
R<br />
R<br />
“Track marks”<br />
“On <strong>the</strong> nod”<br />
Slowed reflexes<br />
Low, slow, raspy speech<br />
Facial itching<br />
Dry mouth<br />
Euphoria<br />
Flaccid muscle tone<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
Inhalants<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
Inhalants<br />
R<br />
R<br />
R<br />
Volatile solvents (gasoline)<br />
Aerosols (hair spray)<br />
Anes<strong>the</strong>tic gases (E<strong>the</strong>r)<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
General Indicators<br />
R<br />
Odor <strong>of</strong> inhaled substance<br />
R<br />
Dizziness, numbness<br />
R<br />
Possible traces <strong>of</strong> substance around <strong>the</strong><br />
face and nose<br />
R<br />
Bloodshot, watery eyes<br />
R<br />
Distorted perception, time and space<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
Cannabis<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
Cannabis<br />
The primary psychoactive<br />
ingredient in Cannabis is:<br />
Delta-9<br />
Tetrahydrocannabinol<br />
(THC)<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
Types Of Cannabis<br />
Marijuana<br />
Hashish<br />
Hashish Oil<br />
Marinol<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
General Indicators<br />
R<br />
R<br />
R<br />
R<br />
R<br />
R<br />
R<br />
Odor <strong>of</strong> marijuana<br />
Relaxes inhibitions<br />
Marked reddening <strong>of</strong> <strong>the</strong> conjunctiva<br />
Body tremors<br />
Disorientation<br />
Impairs attention<br />
<strong>Impaired</strong> perception <strong>of</strong> time and<br />
distance<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
Relationships to <strong>the</strong> Categories<br />
CNS<br />
Depressant<br />
CNS<br />
Stimulant<br />
Hallucinogen Dissociative<br />
Anes<strong>the</strong>tic<br />
Narcotic<br />
Analgesic<br />
Inhalant<br />
Cannabis<br />
HGN<br />
Present<br />
None<br />
None<br />
Present<br />
None<br />
Present<br />
None<br />
VGN<br />
Present *<br />
None<br />
None<br />
Present<br />
None<br />
Present *<br />
None<br />
LOC<br />
Present<br />
None<br />
None<br />
Present<br />
None<br />
Present<br />
Present<br />
Pupil<br />
Size<br />
Normal*<br />
Dilated<br />
Normal<br />
Dilated Normal Constricted<br />
Normal *<br />
Dilated *<br />
Reaction<br />
To Light<br />
Slow<br />
Slow<br />
Normal *<br />
Normal<br />
Little or<br />
None<br />
Visible<br />
Slow<br />
Normal<br />
High dose for that particular person.<br />
Pupil size may be dilated for Soma and Quaaludes<br />
Pupil size may be dilated for some inhalants<br />
Pupil size may be normal<br />
Certain psychedelic amphetamines<br />
may cause slowing.
Vital Sign Relationship to <strong>the</strong><br />
Seven Drug Categories<br />
CNS<br />
Depressant<br />
CNS<br />
Stimulant<br />
Hallucinogen<br />
Dissociative<br />
Anes<strong>the</strong>tic<br />
Narcotic<br />
Analgesic<br />
Inhalant<br />
Cannabis<br />
Pulse<br />
Down *<br />
Up<br />
Up<br />
Up<br />
Down<br />
Up<br />
Up<br />
Blood<br />
Pressure<br />
Down<br />
Up<br />
Up<br />
Up<br />
Down<br />
Up/<br />
Down*<br />
Up<br />
Body<br />
Temp<br />
Normal<br />
Up<br />
Up<br />
Up<br />
Down<br />
Up/<br />
Normal/<br />
Down<br />
Normal<br />
Quaaludes and ETOH may elevate.<br />
Up for aerosols and volatile solvents and down for anes<strong>the</strong>tic gases.<br />
DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals
National DRE Data<br />
Tracking System<br />
www.dretracking.org
DRE Database<br />
2007<br />
Currently <strong>the</strong>re are more than 1,642 evaluators<br />
using <strong>the</strong> system in 37 <strong>State</strong>s.<br />
Currently, <strong>the</strong>re are 9,222 evaluations for 2007.<br />
The National ratio for evaluators vs. evaluations is<br />
5.6 evaluations.
Report Results:Opinion and Toxicology<br />
Results Match<br />
All <strong>State</strong>s 2007<br />
9222 Total records for all evaluations that<br />
meet selected criteria 6066 Records have<br />
completed toxicology 5305 <strong>of</strong> which<br />
Opinion is Supported 5947 evaluations<br />
are considered 89.2% Supported
Medical Ruleouts<br />
• 1.87 % - 2005<br />
• 1.62 % - 2006<br />
• 1.80 % - 2007
Challenges<br />
• People will do almost anything to<br />
beat a DUI charge<br />
• The youngest and most<br />
inexperienced assistants<br />
prosecute <strong>the</strong>se cases<br />
• Some <strong>of</strong> <strong>the</strong> most experienced<br />
and highly paid defense attorneys<br />
(with incredible resources)<br />
defend <strong>the</strong>m
Resource Prosecutor<br />
<strong>Michigan</strong><br />
• Ken Stecker – (517)449-5646<br />
• MI Prosecutors Association
• NHTSA’s Prioritizing <strong>of</strong> Prosecutors: TSRP, What<br />
Does it Mean and How Can It Help You?<br />
• Stop, Look and Listen: Prosecutors at <strong>the</strong> Crash Scene<br />
• Event Data Recorders (EDR) – Recording Automotive<br />
Crash Event Data<br />
• Crawford Made Simple<br />
• Above and Beyond<br />
• Selling <strong>the</strong> Obvious
Contact Information<br />
National Traffic Law Center<br />
(NTLC)<br />
Joanne Michaels<br />
Phone: (703) 549-4253<br />
Fax: (703) 836-3195<br />
E-mail: joanne@ndaa.org
http://www.ndaaapri.org/apri/programs/traffic/ntlc_h<br />
ome.html
Website<br />
• DRE Publication – Phoenix Prosecutor<br />
http://phoenix.gov/phxpros.html
Advanced Roadside <strong>Impaired</strong><br />
Driving Enforcement<br />
I(ARIDE)<br />
National Highway Traffic Safety<br />
Administration
Advanced Roadside <strong>Impaired</strong><br />
Driving Enforcement (ARIDE)<br />
ARIDE trains law enforcement <strong>of</strong>ficers to<br />
observe, identify, and articulate <strong>the</strong><br />
signs <strong>of</strong> impairment related to drugs,<br />
alcohol at roadside.
ARIDE Training<br />
• SFST training a pre-requisite<br />
• 16-hour course<br />
• Bridges <strong>the</strong> gap between SFST and DRE<br />
• Promotes use <strong>of</strong> DREs<br />
• Trains law enforcement<br />
and prosecutors toge<strong>the</strong>r
Overall Course Goal<br />
I<br />
This course will train law enforcement<br />
<strong>of</strong>ficers to observe, identify and articulate<br />
<strong>the</strong> signs <strong>of</strong> impairment related to drugs,<br />
alcohol or a combination <strong>of</strong> both in order to<br />
reduce <strong>the</strong> number <strong>of</strong> impaired driving<br />
incidents, traffic fatalities and serious<br />
injuries.
Important Note<br />
I<br />
This course is not intended to be a<br />
substitute for <strong>the</strong> Drug Evaluation and<br />
Classification Program.<br />
This course will NOT qualify or certify<br />
<strong>the</strong> student as a DRE.
Foundations <strong>of</strong> ARIDE<br />
I<br />
DWI Detection Process<br />
Phase One: Vehicle in Motion<br />
Phase Two: Personnel Contact<br />
Phase Three: Pre-arrest Screening<br />
SFST Test Battery<br />
Horizontal Gaze Nystagmus<br />
Walk and Turn<br />
One Leg Stand
Difference Between<br />
DECP and ARIDE<br />
I<br />
DREs are required to:<br />
• Complete 72 Hrs <strong>of</strong> classroom training<br />
• Field certifications<br />
• Comprehensive final knowledge<br />
examination<br />
• Maintain certification through continuing<br />
education
Bridging <strong>the</strong> Gap<br />
I<br />
• ARIDE training will allow <strong>the</strong> student to<br />
build on SFST skills and knowledge<br />
• ARIDE will provide <strong>the</strong> student with<br />
information which will assist <strong>the</strong>m to<br />
identify <strong>the</strong> drug impaired driver<br />
• ARIDE is designed to support <strong>the</strong> DECP
DITEP<br />
• Drug Impairment Training for Educational<br />
Pr<strong>of</strong>essionals<br />
• 26 <strong>State</strong>s<br />
• 2 day Training – Day 1 ALL – Day 2,<br />
School Nurses & SROs
DRE List Serve<br />
• http://www.drug-recognition-l.org/<br />
• 900 plus, police, prosecutors, toxicologist<br />
highway safety and medical pr<strong>of</strong>essionals<br />
personnel
DRE Website<br />
• http://www.decp.org/<br />
• What’s new, updates, history, training<br />
conference information.<br />
• <strong>State</strong> Coordinators. Password access for<br />
Forms, Standards, Manuals, etc.
The Technical<br />
Advisory Panel<br />
(TAP)<br />
Subcommittee <strong>of</strong> IACP<br />
Highway Safety<br />
Ensures integrity <strong>of</strong> <strong>the</strong> DECP<br />
and SFST training (standards,<br />
curricula)<br />
# #
The Role <strong>of</strong> <strong>the</strong> TAP<br />
Asst. Comm. Earl M. Sweeney<br />
Chair, Technical Advisory Panel<br />
and<br />
IACP Highway Safety Committee
TAP Membership<br />
• HSC Chairman<br />
• IACP Staff ( One Vote)<br />
• DRE Representatives From Each <strong>of</strong> <strong>the</strong><br />
Four Regions<br />
• Police Administrator
TAP Membership<br />
(cont’d)<br />
• DRE Section Chair ( 1 year)<br />
• At Large<br />
• Highway Safety Representative<br />
• Medical / Optometry<br />
• Medical / MD
TAP Membership<br />
(cont’d)<br />
• NHTSA (Ex-Officio Member)<br />
• Police Training Institution<br />
• IADLEST member (POST<br />
director or designee)<br />
• Prosecutor
TAP Membership<br />
(cont’d)<br />
•<strong>State</strong> DEC Coordinator<br />
• Toxicologist
Results<br />
More suspected drugged impaired<br />
drivers arrested and removed from<br />
highways<br />
More people identified with drug abuse<br />
problems and treated<br />
Greater awareness <strong>of</strong> police <strong>of</strong>ficers<br />
More successful DUID prosecutions<br />
Increased public awareness <strong>of</strong> drugged<br />
driving and drug effects
GENERAL SUPPORT FOR DEC<br />
<strong>State</strong>/local law enforcement training<br />
Alcohol, Drug Abuse Department<br />
Drug/Alcohol Treatment Providers<br />
Governor’s Traffic Safety Commission<br />
Private Traffic Safety groups (MADD)<br />
NHTSA Regional HQ<br />
Chief’s and Sheriff’s Association<br />
Motor Vehicles Division
Specific Support For DEC<br />
• Legislation – 1) submit to more than one<br />
test; 2) <strong>of</strong> blood and or urine as well as<br />
breath; 3) for <strong>the</strong> purpose <strong>of</strong> determining <strong>the</strong><br />
alcohol/and or drug content <strong>of</strong> his/her<br />
blood.<br />
• Enforcement – SFST trained<br />
• Prosecution – Be aggressive in seeking<br />
court acceptance <strong>of</strong> SFST evidence,<br />
including HGN<br />
• Toxicology
HOW<br />
Site visit<br />
Criteria is met or close to<br />
Designate someone to lead<br />
Designee submits plan to TAP –<br />
TAP meets twice a year<br />
Approval / Disapproval
Approval / Support<br />
Support in setting up <strong>the</strong> program<br />
Support in setting up schools<br />
Support from IACP / NHTSA<br />
with out <strong>of</strong> state instructors<br />
Expert witnesses<br />
Technical support (TAP)
Approval / Support, cont’d<br />
Technical Advisory Panel – DRE<br />
Instructors, Toxicology, Prosecution,<br />
Medical, Highway Safety, IACP &<br />
NHTSA<br />
DRE Conference<br />
Regional Meetings
Surrounding <strong>State</strong>s<br />
Indiana<br />
Illinois<br />
Ohio<br />
Wisconsin<br />
Canada
Surrounding <strong>State</strong>s DREs and Number <strong>of</strong><br />
Evaluations<br />
• Indiana – 96 DREs – 353 Evals<br />
• Illinois – 10 DREs – 0 Evaluations<br />
• Ohio – 4 DREs<br />
• Wisconsin – 86 DREs – 350 Evaluations<br />
• *Pennsylvania – 15 DREs – 203 Evaluations
Pennsylvania<br />
•1 st DRE Training 2005<br />
• Total DREs to date – 36<br />
• 2006 – 203 DRE Evaluations<br />
• 2007 – 440 Evaluations + 600 DWI
DEC Program Contact Information<br />
Ernie Floegel<br />
Drug Programs Coordinator<br />
Hopewell Junction, New York<br />
Telephone: 845-226-8058<br />
E-mail: iacpdre@frontiernet.net